WC Claims Specialist
5+ years
United States
Full-time
Remote
1 month ago
About the role
1. About Our Client:The organization operates in the risk management sector, providing solutions for workers’ compensation, auto, health, and disability management. Established in 1987 and publicly traded since 1991, the company addresses challenges related to managing risks and claims efficiently. With over 4,000 employees nationwide, the organization emphasizes a culture of accountability, commitment, excellence, integrity, and teamwork. It focuses on delivering integrated solutions through continual investment in technology and human capital.
2. About the Opportunity:The WC Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority under the supervision of a senior claims professional. This role supports the claims department’s objectives by ensuring claims are handled accurately and efficiently, contributing to optimal outcomes for customers and clients. The position is remote and plays a key role in upholding client and carrier guidelines while assisting with more complex claims as needed.
3. Responsibilities:• Receive workers’ compensation claims and confirm policy coverage
• Determine validity and compensability of claims
• Establish reserves and authorize payments within limits
• Manage non-complex lost-time claims under close supervision
• Communicate claim status to customers, claimants, and clients
• Adhere to client and carrier guidelines and participate in claims reviews
• Assist with complex or problematic claims as necessary
• Perform additional projects and duties as assigned
4. Requirements:• Bachelor’s degree or equivalent combination of education and experience
• Minimum of 1 year of industry experience and claims management preferred
• Current Workers’ Compensation license or certification maintained throughout employment
• Excellent written and verbal communication skills
• Ability to learn quickly and develop claims knowledge
• Strong problem-solving skills
• Proficient in Microsoft Office, including Excel
• Strong interpersonal, time management, and organizational skills
• Ability to meet performance competencies
• Capable of working independently and in a team environment
5. Pay Range and Compensation Package:• Pay range: $52,999 – $85,473
• Salary varies based on location, experience, skills, qualifications, and market conditions
• Level placement during hiring may adjust salary within this range
6. Benefits & Perks:• Medical (HDHP) with pharmacy
• Dental and vision coverage
• Long-term disability insurance
• Health Savings Account and Flexible Spending Account options
• Life, accident, and critical illness insurance
• Pre-paid legal insurance
• Parking and transit FSA accounts
• 401K and ROTH 401K retirement plans
• Paid time off
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.
2. About the Opportunity:The WC Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority under the supervision of a senior claims professional. This role supports the claims department’s objectives by ensuring claims are handled accurately and efficiently, contributing to optimal outcomes for customers and clients. The position is remote and plays a key role in upholding client and carrier guidelines while assisting with more complex claims as needed.
3. Responsibilities:• Receive workers’ compensation claims and confirm policy coverage
• Determine validity and compensability of claims
• Establish reserves and authorize payments within limits
• Manage non-complex lost-time claims under close supervision
• Communicate claim status to customers, claimants, and clients
• Adhere to client and carrier guidelines and participate in claims reviews
• Assist with complex or problematic claims as necessary
• Perform additional projects and duties as assigned
4. Requirements:• Bachelor’s degree or equivalent combination of education and experience
• Minimum of 1 year of industry experience and claims management preferred
• Current Workers’ Compensation license or certification maintained throughout employment
• Excellent written and verbal communication skills
• Ability to learn quickly and develop claims knowledge
• Strong problem-solving skills
• Proficient in Microsoft Office, including Excel
• Strong interpersonal, time management, and organizational skills
• Ability to meet performance competencies
• Capable of working independently and in a team environment
5. Pay Range and Compensation Package:• Pay range: $52,999 – $85,473
• Salary varies based on location, experience, skills, qualifications, and market conditions
• Level placement during hiring may adjust salary within this range
6. Benefits & Perks:• Medical (HDHP) with pharmacy
• Dental and vision coverage
• Long-term disability insurance
• Health Savings Account and Flexible Spending Account options
• Life, accident, and critical illness insurance
• Pre-paid legal insurance
• Parking and transit FSA accounts
• 401K and ROTH 401K retirement plans
• Paid time off
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.
Skills
AdministrativeSoftware Development